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Rapid assessment of Ebola infection prevention and control needs--six districts, Sierra Leone, October 2014.

Abstract As of October 31, 2014, the Sierra Leone Ministry of Health and Sanitation had reported 3,854 laboratory-confirmed cases of Ebola virus disease (Ebola) since the outbreak began in May 2014; 199 (5.2%) of these cases were among health care workers. Ebola infection prevention and control (IPC) measures are essential to interrupt Ebola virus transmission and protect the health workforce, a population that is disproportionately affected by Ebola because of its increased risk of exposure yet is essential to patient care required for outbreak control and maintenance of the country's health system at large. To rapidly identify existing IPC resources and high priority outbreak response needs, an assessment by CDC Ebola Response Team members was conducted in six of the 14 districts in Sierra Leone, consisting of health facility observations and structured interviews with key informants in facilities and government district health management offices. Health system gaps were identified in all six districts, including shortages or absence of trained health care staff, personal protective equipment (PPE), safe patient transport, and standardized IPC protocols. Based on rapid assessment findings and key stakeholder input, priority IPC actions were recommended. Progress has since been made in developing standard operating procedures, increasing laboratory and Ebola treatment capacity and training the health workforce. However, further system strengthening is needed. In particular, a successful Ebola outbreak response in Sierra Leone will require an increase in coordinated and comprehensive district-level IPC support to prevent ongoing Ebola virus transmission in household, patient transport, and health facility settings.
PMID
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Authors

Mayor MeshTerms

Needs Assessment

Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start
%A Pathmanathan, Ishani; O'Connor, Katherine A.; Adams, Monica L.; Rao, Carol Y.; Kilmarx, Peter H.; Park, Benjamin J.; Mermin, Jonathan; Kargbo, Brima; Wurie, Alie H.; Clarke, Kevin R.
%A Centers for Disease Control and Prevention (CDC)
%T Rapid assessment of Ebola infection prevention and control needs--six districts, Sierra Leone, October 2014.
%J MMWR. Morbidity and mortality weekly report, vol. 63, no. 49, pp. 1172-1174
%D 12/2014
%V 63
%N 49
%M eng
%B As of October 31, 2014, the Sierra Leone Ministry of Health and Sanitation had reported 3,854 laboratory-confirmed cases of Ebola virus disease (Ebola) since the outbreak began in May 2014; 199 (5.2%) of these cases were among health care workers. Ebola infection prevention and control (IPC) measures are essential to interrupt Ebola virus transmission and protect the health workforce, a population that is disproportionately affected by Ebola because of its increased risk of exposure yet is essential to patient care required for outbreak control and maintenance of the country's health system at large. To rapidly identify existing IPC resources and high priority outbreak response needs, an assessment by CDC Ebola Response Team members was conducted in six of the 14 districts in Sierra Leone, consisting of health facility observations and structured interviews with key informants in facilities and government district health management offices. Health system gaps were identified in all six districts, including shortages or absence of trained health care staff, personal protective equipment (PPE), safe patient transport, and standardized IPC protocols. Based on rapid assessment findings and key stakeholder input, priority IPC actions were recommended. Progress has since been made in developing standard operating procedures, increasing laboratory and Ebola treatment capacity and training the health workforce. However, further system strengthening is needed. In particular, a successful Ebola outbreak response in Sierra Leone will require an increase in coordinated and comprehensive district-level IPC support to prevent ongoing Ebola virus transmission in household, patient transport, and health facility settings.
%K Disease Outbreaks, Hemorrhagic Fever, Ebola, Humans, Needs Assessment, Sierra Leone, Time Factors
%P 1172
%L 1174
%W PHY
%G AUTHOR
%R 2014.......63.1172P

@Article{Pathmanathan2014,
author="Pathmanathan, Ishani
and O'Connor, Katherine A.
and Adams, Monica L.
and Rao, Carol Y.
and Kilmarx, Peter H.
and Park, Benjamin J.
and Mermin, Jonathan
and Kargbo, Brima
and Wurie, Alie H.
and Clarke, Kevin R.
and {Centers for Disease Control and Prevention (CDC)}",
title="Rapid assessment of Ebola infection prevention and control needs--six districts, Sierra Leone, October 2014.",
journal="MMWR. Morbidity and mortality weekly report",
year="2014",
month="Dec",
day="12",
volume="63",
number="49",
pages="1172--1174",
keywords="Disease Outbreaks",
keywords="Hemorrhagic Fever, Ebola",
keywords="Humans",
keywords="Needs Assessment",
keywords="Sierra Leone",
keywords="Time Factors",
abstract="As of October 31, 2014, the Sierra Leone Ministry of Health and Sanitation had reported 3,854 laboratory-confirmed cases of Ebola virus disease (Ebola) since the outbreak began in May 2014; 199 (5.2\%) of these cases were among health care workers. Ebola infection prevention and control (IPC) measures are essential to interrupt Ebola virus transmission and protect the health workforce, a population that is disproportionately affected by Ebola because of its increased risk of exposure yet is essential to patient care required for outbreak control and maintenance of the country's health system at large. To rapidly identify existing IPC resources and high priority outbreak response needs, an assessment by CDC Ebola Response Team members was conducted in six of the 14 districts in Sierra Leone, consisting of health facility observations and structured interviews with key informants in facilities and government district health management offices. Health system gaps were identified in all six districts, including shortages or absence of trained health care staff, personal protective equipment (PPE), safe patient transport, and standardized IPC protocols. Based on rapid assessment findings and key stakeholder input, priority IPC actions were recommended. Progress has since been made in developing standard operating procedures, increasing laboratory and Ebola treatment capacity and training the health workforce. However, further system strengthening is needed. In particular, a successful Ebola outbreak response in Sierra Leone will require an increase in coordinated and comprehensive district-level IPC support to prevent ongoing Ebola virus transmission in household, patient transport, and health facility settings.",
issn="1545-861X",
url="http://www.ncbi.nlm.nih.gov/pubmed/25503922",
language="eng"
}

%0 Journal Article
%T Rapid assessment of Ebola infection prevention and control needs--six districts, Sierra Leone, October 2014.
%A Pathmanathan, Ishani
%A O'Connor, Katherine A.
%A Adams, Monica L.
%A Rao, Carol Y.
%A Kilmarx, Peter H.
%A Park, Benjamin J.
%A Mermin, Jonathan
%A Kargbo, Brima
%A Wurie, Alie H.
%A Clarke, Kevin R.
%A Centers for Disease Control and Prevention (CDC)
%J MMWR. Morbidity and mortality weekly report
%D 2014
%8 Dec 12
%V 63
%N 49
%@ 1545-861X
%G eng
%F Pathmanathan2014
%X As of October 31, 2014, the Sierra Leone Ministry of Health and Sanitation had reported 3,854 laboratory-confirmed cases of Ebola virus disease (Ebola) since the outbreak began in May 2014; 199 (5.2%) of these cases were among health care workers. Ebola infection prevention and control (IPC) measures are essential to interrupt Ebola virus transmission and protect the health workforce, a population that is disproportionately affected by Ebola because of its increased risk of exposure yet is essential to patient care required for outbreak control and maintenance of the country's health system at large. To rapidly identify existing IPC resources and high priority outbreak response needs, an assessment by CDC Ebola Response Team members was conducted in six of the 14 districts in Sierra Leone, consisting of health facility observations and structured interviews with key informants in facilities and government district health management offices. Health system gaps were identified in all six districts, including shortages or absence of trained health care staff, personal protective equipment (PPE), safe patient transport, and standardized IPC protocols. Based on rapid assessment findings and key stakeholder input, priority IPC actions were recommended. Progress has since been made in developing standard operating procedures, increasing laboratory and Ebola treatment capacity and training the health workforce. However, further system strengthening is needed. In particular, a successful Ebola outbreak response in Sierra Leone will require an increase in coordinated and comprehensive district-level IPC support to prevent ongoing Ebola virus transmission in household, patient transport, and health facility settings.
%K Disease Outbreaks
%K Hemorrhagic Fever, Ebola
%K Humans
%K Needs Assessment
%K Sierra Leone
%K Time Factors
%U http://www.ncbi.nlm.nih.gov/pubmed/25503922
%P 1172-1174

PT Journal
AU Pathmanathan, I
   O'Connor, KA
   Adams, ML
   Rao, CY
   Kilmarx, PH
   Park, BJ
   Mermin, J
   Kargbo, B
   Wurie, AH
   Clarke, KR
AU Centers for Disease Control and Prevention (CDC)
TI Rapid assessment of Ebola infection prevention and control needs--six districts, Sierra Leone, October 2014.
SO MMWR. Morbidity and mortality weekly report
JI MMWR Morb. Mortal. Wkly. Rep.
PD Dec
PY 2014
BP 1172
EP 1174
VL 63
IS 49
LA eng
DE Disease Outbreaks; Hemorrhagic Fever, Ebola; Humans; Needs Assessment; Sierra Leone; Time Factors
AB As of October 31, 2014, the Sierra Leone Ministry of Health and Sanitation had reported 3,854 laboratory-confirmed cases of Ebola virus disease (Ebola) since the outbreak began in May 2014; 199 (5.2%) of these cases were among health care workers. Ebola infection prevention and control (IPC) measures are essential to interrupt Ebola virus transmission and protect the health workforce, a population that is disproportionately affected by Ebola because of its increased risk of exposure yet is essential to patient care required for outbreak control and maintenance of the country's health system at large. To rapidly identify existing IPC resources and high priority outbreak response needs, an assessment by CDC Ebola Response Team members was conducted in six of the 14 districts in Sierra Leone, consisting of health facility observations and structured interviews with key informants in facilities and government district health management offices. Health system gaps were identified in all six districts, including shortages or absence of trained health care staff, personal protective equipment (PPE), safe patient transport, and standardized IPC protocols. Based on rapid assessment findings and key stakeholder input, priority IPC actions were recommended. Progress has since been made in developing standard operating procedures, increasing laboratory and Ebola treatment capacity and training the health workforce. However, further system strengthening is needed. In particular, a successful Ebola outbreak response in Sierra Leone will require an increase in coordinated and comprehensive district-level IPC support to prevent ongoing Ebola virus transmission in household, patient transport, and health facility settings.
ER

PMID- 25503922
OWN - NLM
STAT- MEDLINE
DA  - 20141216
DCOM- 20150205
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 63
IP  - 49
DP  - 2014 Dec 12
TI  - Rapid assessment of Ebola infection prevention and control needs--six districts, 
      Sierra Leone, October 2014.
PG  - 1172-4
AB  - As of October 31, 2014, the Sierra Leone Ministry of Health and Sanitation had
      reported 3,854 laboratory-confirmed cases of Ebola virus disease (Ebola) since
      the outbreak began in May 2014; 199 (5.2%) of these cases were among health care 
      workers. Ebola infection prevention and control (IPC) measures are essential to
      interrupt Ebola virus transmission and protect the health workforce, a population
      that is disproportionately affected by Ebola because of its increased risk of
      exposure yet is essential to patient care required for outbreak control and
      maintenance of the country's health system at large. To rapidly identify existing
      IPC resources and high priority outbreak response needs, an assessment by CDC
      Ebola Response Team members was conducted in six of the 14 districts in Sierra
      Leone, consisting of health facility observations and structured interviews with 
      key informants in facilities and government district health management offices.
      Health system gaps were identified in all six districts, including shortages or
      absence of trained health care staff, personal protective equipment (PPE), safe
      patient transport, and standardized IPC protocols. Based on rapid assessment
      findings and key stakeholder input, priority IPC actions were recommended.
      Progress has since been made in developing standard operating procedures,
      increasing laboratory and Ebola treatment capacity and training the health
      workforce. However, further system strengthening is needed. In particular, a
      successful Ebola outbreak response in Sierra Leone will require an increase in
      coordinated and comprehensive district-level IPC support to prevent ongoing Ebola
      virus transmission in household, patient transport, and health facility settings.
FAU - Pathmanathan, Ishani
AU  - Pathmanathan I
FAU - O'Connor, Katherine A
AU  - O'Connor KA
FAU - Adams, Monica L
AU  - Adams ML
FAU - Rao, Carol Y
AU  - Rao CY
FAU - Kilmarx, Peter H
AU  - Kilmarx PH
FAU - Park, Benjamin J
AU  - Park BJ
FAU - Mermin, Jonathan
AU  - Mermin J
FAU - Kargbo, Brima
AU  - Kargbo B
FAU - Wurie, Alie H
AU  - Wurie AH
FAU - Clarke, Kevin R
AU  - Clarke KR
CN  - Centers for Disease Control and Prevention (CDC)
LA  - eng
PT  - Journal Article
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Disease Outbreaks/*prevention & control
MH  - Hemorrhagic Fever, Ebola/epidemiology/*prevention & control
MH  - Humans
MH  - *Needs Assessment
MH  - Sierra Leone/epidemiology
MH  - Time Factors
EDAT- 2014/12/17 06:00
MHDA- 2015/02/06 06:00
CRDT- 2014/12/16 06:00
AID - mm6349a7 [pii]
PST - ppublish
SO  - MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1172-4.
TY  - JOUR
AU  - Pathmanathan, Ishani
AU  - O'Connor, Katherine A.
AU  - Adams, Monica L.
AU  - Rao, Carol Y.
AU  - Kilmarx, Peter H.
AU  - Park, Benjamin J.
AU  - Mermin, Jonathan
AU  - Kargbo, Brima
AU  - Wurie, Alie H.
AU  - Clarke, Kevin R.
AU  - Centers for Disease Control and Prevention (CDC)
PY  - 2014/Dec/12
TI  - Rapid assessment of Ebola infection prevention and control needs--six districts, Sierra Leone, October 2014.
T2  - MMWR Morb. Mortal. Wkly. Rep.
JO  - MMWR. Morbidity and mortality weekly report
SP  - 1172
EP  - 1174
VL  - 63
IS  - 49
KW  - Disease Outbreaks
KW  - Hemorrhagic Fever, Ebola
KW  - Humans
KW  - Needs Assessment
KW  - Sierra Leone
KW  - Time Factors
N2  - As of October 31, 2014, the Sierra Leone Ministry of Health and Sanitation had reported 3,854 laboratory-confirmed cases of Ebola virus disease (Ebola) since the outbreak began in May 2014; 199 (5.2%) of these cases were among health care workers. Ebola infection prevention and control (IPC) measures are essential to interrupt Ebola virus transmission and protect the health workforce, a population that is disproportionately affected by Ebola because of its increased risk of exposure yet is essential to patient care required for outbreak control and maintenance of the country's health system at large. To rapidly identify existing IPC resources and high priority outbreak response needs, an assessment by CDC Ebola Response Team members was conducted in six of the 14 districts in Sierra Leone, consisting of health facility observations and structured interviews with key informants in facilities and government district health management offices. Health system gaps were identified in all six districts, including shortages or absence of trained health care staff, personal protective equipment (PPE), safe patient transport, and standardized IPC protocols. Based on rapid assessment findings and key stakeholder input, priority IPC actions were recommended. Progress has since been made in developing standard operating procedures, increasing laboratory and Ebola treatment capacity and training the health workforce. However, further system strengthening is needed. In particular, a successful Ebola outbreak response in Sierra Leone will require an increase in coordinated and comprehensive district-level IPC support to prevent ongoing Ebola virus transmission in household, patient transport, and health facility settings.
SN  - 1545-861X
UR  - http://www.ncbi.nlm.nih.gov/pubmed/25503922
ID  - Pathmanathan2014
ER  - 
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